Analyst, Config Info Mgmt - Benefits and Reimbursement @ Molina Healthcare | Jobright.ai
JOBSarrow
RecommendedLiked
0
Applied
0
External
0
Analyst, Config Info Mgmt - Benefits and Reimbursement jobs in Arizona, United States
Be an early applicantLess than 25 applicantsPosted by Agency
company-logo

Molina Healthcare · 15 hours ago

Analyst, Config Info Mgmt - Benefits and Reimbursement

ftfMaximize your interview chances
Health CareHospital
check
H1B Sponsor Likelynote

Insider Connection @Molina Healthcare

Discover valuable connections within the company who might provide insights and potential referrals.
Get 3x more responses when you reach out via email instead of LinkedIn.

Responsibilities

Analyze and interpret data to determine appropriate configuration changes.
Accurately interprets specific state and/or federal benefits, contracts as well as additional business requirements and converting these terms to configuration parameters.
Handles coding, updating and maintaining benefit plans, provider contracts, fee schedules and various system tables through the user interface.
Apply previous experience and knowledge to research and resolve claim/encounter issues, pended claims and update system(s) as necessary.
Works with fluctuating volumes of work and is able to prioritize work to meet deadlines and needs of user community.
Research and analyze the benefits, fee schedules
Creates a document based on benefits eligibility and meets with the configuration teams for implementation
Testing the configuration requirement
Must have working experience with MS Excel
Knowledge with SQL is nice to have

Qualification

Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.

Data analysisConfiguration managementCoding benefit plansMS ExcelSQLTesting configuration

Required

Associate degree or equivalent combination of education and experience
2-5 years

Preferred

Bachelor's Degree or equivalent combination of education and experience
5-7 years
Knowledge with SQL is nice to have

Company

Molina Healthcare

company-logo
Molina Healthcare is a healthcare company that specializes in government-sponsored healthcare programs for families and individuals.

H1B Sponsorship

Molina Healthcare has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (33)
2022 (36)
2021 (33)
2020 (60)

Funding

Current Stage
Public Company
Total Funding
$1.5B
2024-11-13Post Ipo Debt· $750M
2021-11-16Post Ipo Debt· $750M
2014-09-09Post Ipo Equity· $3.11M

Leadership Team

leader-logo
Dave Reynolds
Executive Vice President, Regional Health Plans
linkedin
leader-logo
Debbie Simkins
Vice President, Office of the CIO
linkedin
Company data provided by crunchbase
logo

Orion

Your AI Copilot